Stephen Ira Albeck, D.D.S.
Individual provider Active NPI General Practice Dentistry · Hollis, NY
NPI 1972668895 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972668895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 33203 (NY)
- Practice address
- 19517 Hillside Ave
Hollis, NY 11423-2014 - Phone
- (718) 465-4343
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33203 | NY | MD | General Practice Dentistry |
| 033203 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33203 | NY | Yes |
Addresses
Primary practice location
19517 Hillside Ave
Hollis, NY 11423-2014
Mailing address
19517 Hillside Ave
Hollis, NY 11423-2014
Phone (718) 465-4343
Other providers in Hollis, NY
- Yashvanth Aitha
- Ijeoma Felicia Ajunwa
- Michael Akilova
- Popy Akter
- Hira Alam
- Ma Josette Concepcio Gabinete Alegario
- Magalie Alfred Nelson
- Maureen Estrada Algenio
- Alishaa Ali
- Rosei Ali
All providers in Hollis, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.